scholarly journals ASSESSMENT OF THE RISK OF DECUBITUS ULCERS USING BRADEN SCALE

2021 ◽  
Vol 27 (3) ◽  
pp. 3930-3934
Author(s):  
Despina Georgieva ◽  
◽  
◽  

Purpose: Within the behavioral guidelines of hospitalized patients who need compensatory nursing care, an assessment of the risk of decubitus ulcers is recommended to be done at regular intervals, in schedule, and after each altered state. The goal of this research is to apply the BRADEN SCALE for assessment of the risk of decubitus ulcers occurring during a hygienic toilet in sick people who need compensatory nursing care. Material/Methods: An assessment of the risk of decubitus ulcers via using the Braden scale is applied in 120 hospitalized patients during a hygienic toilet. Treatment of decubitus ulcers I and II degree is being performed when the state of the skin and wounds that have already occurred are being established. For processing, analysis and graphic presentation of the results and data, the statistic program SPSS 20.0 is being used. Results: It's reported that 50, 83% of the respondents have got quite a risk of decubitus wounds occurring, 26,67% are at great risk, and 14,17% are at moderate risk. Only 8, 33% of all patients tested are at light risk. Conclusions: In all patients tested, a various degree of decubitus wounds occurrence, is reported. This defines the importance of the nurses' hygienic care and activities for the prevention of decubitus ulcers to occur. If the prevention measures of patients who have gotten in a risk group are not observed, every decubitus wound leads to a continuous stay in the hospital and also additional treatment and tests, which automatically prolong and raise the cost of hospital treatment.

2013 ◽  
Vol 20 (6) ◽  
pp. 573-578 ◽  
Author(s):  
Yan‐Fang Hou ◽  
Ai‐Ping Zhao ◽  
Ya‐Xin Feng ◽  
Xiao‐Ning Cui ◽  
Ling‐Ling Wang ◽  
...  

2016 ◽  
Vol 66 (4) ◽  
Author(s):  
Tommaso Diaco ◽  
Geremia Milanesi ◽  
Daniela Zaniboni ◽  
Massimo Gritti ◽  
Gianna Zavatteri ◽  
...  

weight on social cost. An improved resources utilization could promote a reduction of the new hospitalization and a of medical costs. Working hypotesis: To analyze a model of increased utilization of our Cardiac Rehabilitation (CR) Unit, aiming at improving the cost/profit ratio through a better use of resources and a better assignment of care. With a reduction of average length of stay in the Operative Units for acute patients, we could promote a demand of post-acute hospitalization of 950.7 days of hospitalization that could be assigned to Cardiologic Rehabilitation Unit. Results: With the transfer of patients the utilization rate of CR would increase to 97%. With a mean period in bed of 15.3 days we could hospitalize 62 additional patients and the total margin of contribution would became positive: 69.817 euro. The break even analysis applied to costs and returns of the Unit shows a further indication to increase the hospitalization number in CR Unit with patients transfered from acute patient units. Under the same costs the recovery of efficiency leads to a reduction of variable costs. In the same time there is an increase of returns due to an increase of mean value for case and an increase of services. Conclusion: The increase in the efficiency in the utilization of CR Unit leads to an increase of the Hospital efficiency. The transfer of patients from acute units to CR Unit would allow an increased hospitalization rate for acute patients without requiring additional resources.


2018 ◽  
Vol 3 (12) ◽  
pp. 99-112 ◽  
Author(s):  
Richard R. Hurtig ◽  
Rebecca M. Alper ◽  
Benjamin Berkowitz

Author(s):  
Г.А. КУПИН ◽  
Т.В. ПЕРШАКОВА ◽  
А.В. СВЕРДЛИЧЕНКО ◽  
С.М. ГОРЛОВ

Проблема обеспечения высокого качества продукции для оптимизации затрат на ее производство и хранение актуальна для производителей и переработчиков плодовых культур. Исследовано влияние обработки плодов яблок препаратами на основе 1-метилциклопропена на изменение органолептических и биохимических показателей продукции при хранении. Объектом исследования были яблоки сорта Айдаред, выращенные на территории Краснодарского края, урожая 2020 года. При подготовке к исследованию часть яблоневых насаждений в период созревания плодов обрабатывали препаратом «Румянец» на основе 1-метилциклопропена в течение 28 дней с интервалом между обработками в 7 дней. После съема часть плодов с обработанных и необработанных деревьев перед закладкой на хранение была однократно обработана 1-метилциклопропеном с концентрацией активного вещества 1,4%. Для закладки на хранение были составлены 4 образца: образец 1 – необработанные плоды яблок (контроль); 2 – яблоки, обработанные препаратом «Румянец» в период созревания; 3 – яблоки, обработанные 1-метилциклопропеном перед закладкой на хранение; 4 – яблоки, обработанные препаратом «Румянец» в период созревания и 1-метилциклопропеном при закладке на хранение. Образцы яблок хранили при температуре (2 ± 1)°С и относительной влажности воздуха 85% в течение 30 сут. Установлено, что наивысшую оценку по значимым органолептическим показателям – площадь окрашенной поверхности, основная и покровная окраска кожицы, вкус и запах получил образец яблок 2. Его биохимические показатели на момент окончания срока хранения были выше по сравнению с аналогичными показателями контрольного образца. Содержание витамина С в плодах на момент окончания хранения снизилось: в контрольном образце на 7,3%, в образце яблок, обработанных в период созревания препаратом на основе 1-метилциклопропена, – на 3,6%. Дополнительная обработка яблок препаратом 1-метилциклопропена при закладке на хранение способствовала снижению органолептических показателей качества яблок (образцы 3 и 4). The problem of ensuring high quality products to optimize the cost of its production and storage is relevant for producers and processors of fruit crops. The effect of processing apple fruits with preparations based on 1-methylcyclopropene on the changes in the organoleptic and biochemical parameters of the products during storage was studied. The object of the study was apples of the Aydared variety grown on the territory of the Krasnodar region, the harvest of 2020. In preparation for the study, a part of apple plantations during the fruit ripening period was treated with the preparation «Rumyanets» based on 1-methylcyclopropene for 28 days with an interval between treatments of 7 days. After fruit picking, part of the fruits from the treated and untreated trees were treated once with 1-methylcyclopropene with a concentration of the active substance of 1.4% before being stored. 4 samples were prepared for storage: sample 1 – unprocessed apple fruits (control); 2 – apples treated with the preparation «Rumyants» during the ripening period; 3 – apples treated with 1-methylcyclopropene before storage; 4 – apples treated with the preparation «Rumyants» during the ripening period and 1-methylcyclopropene before storage. Apple samples were stored at a temperature of (2 ± 1)°C and relative humidity of 85% for 30 days. It was found that the highest score for significant organoleptic parameters – the area of the painted surface, the main and cover color of the skin, taste and smell had the sample of apples 2. Its biochemical parameters at the end of the storage period were higher than those of the control sample. The content of vitamin C in fruits at the end of storage decreased: in the control sample by 7,3%, in the sample of apples treated during maturation with a preparation based on 1-methylcyclopropene – by 3,6%. Additional treatment of apples with 1-methylcyclopropene preparation before storage contributed to a decrease in the organoleptic quality indicators of apples (samples 3 and 4).


2010 ◽  
Vol 4 (2) ◽  
pp. 894
Author(s):  
Samuel Spiegelberg Zuge ◽  
Maria Luiza Cioccari Do Carmo ◽  
Crhis Netto de Brum ◽  
Laura De Azevedo Guido

ABSTRACT Objective: to describe correlated actions between services from a hospital company to obtain quality and productivity in the customers care, related to the enshrined materials management, and also to emphasize the importance of the nurse in this context. Methodology: this is an experience report ruled by a literature review. Results: it was verified that the systematization of processes and the interrelation between services are vital to the financial equilibrium of the institution and the accord that share the cost with the suppliers. The nurse it have clear objectives, be ethical, to remind the management of the company's needs, but above all be prepared to consider a nursing care appropriate technology and necessary as this, but especially geared to the needs of customers. Conclusion: it is considered that the enshrined management assures the assistant quality bound to the customer satisfaction in different levels, besides permitting the nursing staff higher tranquility to conduct its activities, once the management is concentrated in the work process of the nurses. Descriptors: assistance; perioperative nursing; operating room nursing; sterilization; waste management; technology; work.      RESUMO Objetivos: descrever ações de interação entre serviços de uma empresa hospitalar para obtenção de qualidade e produtividade no atendimento aos clientes, relacionado ao gerenciamento de materiais consignados, bem como destacar a importância do enfermeiro nesse contexto. Metodologia: trata-se de um relato de experiência pautado em uma revisão de literatura. Resultados: verificou-se que a sistematização de processos e a inter-relação entre serviços  são vitais para o equilíbrio financeiro da instituição e dos convênios que compartilham os gastos juntos aos fornecedores. Ao enfermeiro cabe ter objetivos claros, ser ético, lembrar da gestão das necessidades da empresa, mas acima de tudo estar preparado para contemplar uma assistência de enfermagem adequada a tecnologia tão presente e necessária, mas especialmente voltada às necessidades dos clientes. Conclusão: considera-se que a gestão de consignados assegura a qualidade da assistência vinculada à satisfação dos clientes em diferentes níveis, além de permitir a equipe de enfermagem maior tranqüilidade em realizar suas atividades, uma vez que o gerenciamento concentra-se no processo de trabalho do enfermeiro. Descritores: assistência; enfermagem de centro cirúrgico; enfermagem perioperatória; esterilização; gerenciamento de resíduos; tecnologia; trabalho.RESUMENObjetivo: describir acciones de interacion entre los servicios de una empresa hospitalar para la obtención de qualidad y productividad en atendimiento a los clientes, relacionada al gerenciamiento de materiales consignados, así como destacar la importancia de los enfermeros en ese contexto. Metodología: se trata de un relato de experiencia gobernado por una revisión de la literatura. Resultados: fue verificado que la sistematización con procesos y la interrelación entre los servicios son vitales para el equilibrio financero de la instituición y de los convenios que comparten los gastos junto a los fornecedores. La enfermera que tener objetivos claros, ser ético, para recordar la gestión de las necesidades de la empresa, pero sobre todo estar preparados para considerar una atención de enfermería de tecnología apropiada y necesaria como esta, pero especialmente orientada a las necesidades de los clientes. Conclusión: es considerado que la gestión de consignados asegura la qualidad de la asistencia vinculada a la satisfacción de los clientes en diferentes niveles, como también permite a el equipo de enfermeros mayor tranquilidad en conducir sus actividades, pues el gerenciamiento concentrase nel proceso del trabajo del enfermero. Descriptores: asistencia; enfermería perioperatoria; administración de residuos; enfermería de quirófano;  esterilización; administración de residuos; tecnología; trabajo.  


2016 ◽  
Vol 11 (6) ◽  
pp. 1238-1243
Author(s):  
Kenichi Tsukahara ◽  
◽  
Noriyasu Kachi ◽  

Losses and damages caused by natural disasters have negatively impacted poverty alleviation and human development and undermine the achievement of the Millennium Development Goals (MDGs). However, disaster issues were not included in MDG targets set up in 2000. A new development agenda, Sustainable Development Goals (SDGs), was approved in the UN General Assembly in September 2015. In the SDGs, disaster issues are included in many targets such as target 11.5. To appropriately set targets and prepare monitoring measures for disaster-related issues, quantitatively measurable indicators of impacts of disaster risk reduction on economic growth and poverty alleviation should be prepared. In addition, to promote disaster prevention measures, we need to convince policy makers that such measures are highly essential for a country’s development and are cost-effective. Although the cost-effectiveness of single disaster prevention projects has been studied, aggregate effectiveness of these projects at a national level has not been presented. This study proposes a simple method to explain the cost-effectiveness of flood protection investment in Japan post World War II by using national aggregate data.


1998 ◽  
Vol 4 (3) ◽  
pp. 146-151 ◽  
Author(s):  
Masaomi Takizawa Shusuke ◽  
Sone Shodayu Takashima ◽  
Li Feng Yuichiro ◽  
Maruyama Minoru ◽  
Hasegawa Kazuhisa ◽  
...  

To detect early disease, especially lung disease, we created a new telemedicine system, called the Mobile Hospital. It consists of a satellite or ground communication system using a large vehicle in which is installed a whole-body spiral computerized tomography scanner and a multimedia telecommunications system. The Mobile Hospital goes to small villages and carries out mass screening for early lung disease, especially lung cancer. It travelled over 8000 km from May 1996 to March 1997. In this period 6358 persons aged 50-85 years and younger heavy smokers were screened in the Matsumoto area. As a result, 37.7 of the subjects were suspected of having various latent lung diseases. The cost of medical treatment for the lung cancers detected by the Mobile Hospital was 44 of that for a conventional medical care group, and the length of hospital treatment with surgical operation was 30 of that of the conventional group.


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